Claims Analyst – GIB at Madison Group Limited

Overall Responsibility

The job holder will be responsible for processing and managing insurance claims, ensuring accurate and timely resolutions while upholding company policies and procedures. This involves evaluating claims, investigating incidents, communicating with parties involved, and managing all aspects of the claim process from initial report to final settlement. The role will fulfill promises and obligations of risks assumed by the company on behalf of its clients, while detecting fraudulent claims to minimize claims costs and maintain low loss ratios.

Key Responsibilities

• Initial reserving of new claims
• Analyse claims and decide whether they are covered by policy
• Make recommendations for the settlement of claims
• Inform clients if claims are accepted and how they will be allocated
• Analyse and authenticate service provider's reports and recommendations
• Prepare repair authority letters to garages and courtesy car letters
• Appoint Loss adjusters and investigators to investigate suspicious claims within stipulated timelines
• Issue discharge vouchers for approved offers and letters of offer
• Check claims payment vouchers and dispatch accordingly
• Review files after payment is completed
• Ensure all enquiries and payments are dealt with quickly
• Process service provider payments
• Manage third party recoveries

Key Relationships

Internal: All Staff and intermediaries

External: All Claims Service Providers, Customers and intermediaries

Required Skills and Competencies

• Excellent communication and interpersonal skills
• Excellent planning and organization skills
• Ability to work under pressure
• Excellent problem solving and decision-making skills
• Knowledge of industry rules and regulations
• Results-driven approach with customer focus